Maternal and fetal mortality and complications associated with cesarean section deliveries in teaching hospitals in Asia

Abstract

Maternal complications were increased by cesarean delivery but elective section may reduce neonatal complication.

Socio-demographic predictors and average annual rates of caesarean section in Bangladesh between 2004 and 2014

“…On the basis of findings from the survey of 373 facilities across 24 countries in 2008, the World Health Organization (WHO) concluded that unnecessary CS increases the risk of maternal mortality and morbidity, neonatal death, neonatal admission to intensive care [5]. These findings were recently supported by a hospital based prospective study, which used data from nine countries in the wider Asian region (Bangladesh, China, Indonesia, Mongolia, Myanmar, Nepal, Thailand, Sri Lanka, Vietnam) [6]. In addition to potential adverse health consequences, unnecessary CS also causes a substantial economic burden on individual, family and overall society [7].…”

Pregnancy and delivery following midurethral sling surgery for stress urinary incontinence

“…Cesarean deliveries are associated with significantly higher rates of maternal morbidity and mortality than vaginal deliveries. Every obstetrician has experienced a situation where a planned primary cesarean delivery became very complicated, with consequences that might affect the quality of life of the patient [23]. Some women are afraid of a vaginal delivery whereas others, being afraid of a laparotomic procedure, prefer to be delivered vaginally.…”

Applying Lean Six Sigma methodology to reduce cesarean section rate

“…In addition, the risk of placenta previa, placenta accreta, uterine scar pregnancy, and uterine rupture is also higher in women who go on to conceive again after having had a previous cesarean section. Because of the presence of the original surgical scar and the possible formation of abdominal adhesion, gynecological surgery after cesarean section is difficult, and the rate of surgical complications is increased . Finally, when the cesarean section rate is lower than 20% to 25%, the perinatal mortality declines as cesarean section increases; however, when the cesarean section rate is higher than this, perinatal mortality improves no further…”

“…While Lean Manufacturing offers a highly structured approach to remove inefficiencies, this methodology also aims to achieve maximum customer satisfaction and benefit . LSS originated from Motorola in the 1980s and is increasingly used in the healthcare field …”